良性阵发性位置性眩晕与焦虑抑郁共病的研究进展

Research Progress on Benign Paroxysmal Positional Vertigo with Comorbid Anxiety and Depression

良性阵发性位置性眩晕(Benign Paroxysmal Positional Vertigo, BPPV)是临床上最常见的外周前庭眩晕疾病之一。焦虑和抑郁是眩晕患者常见的心理问题之一。眩晕患者中约30%-50%存在共病的精神症状,焦虑抑郁是BPPV患者中常见的精神共病,近年来许多研究证明BPPV与焦虑抑郁共病的发生率高于普通人群,两者间存在双向联系与相互影响,但目前对BPPV患者的焦虑抑郁状况仍未被重视,为进一步改善BPPV患者的预后,对BPPV合并焦虑抑郁的患者进行有效的干预尤为重要。本文将对BPPV与焦虑抑郁共病的流行病学、心理因素对BPPV的影响、作用机制、危险因素、以及干预措施的研究进展进行综述,为临床诊治提供参考。

Benign paroxysmal positional vertigo(BPPV) is one of the most common peripheral vestibular vertigo types encountered in the clinic. Anxiety and depression are a common psychological problems in patients with vertigo.About 30% of the patients with vertigo have comorbid mental symptoms. Anxiety and depression are also common psychiatric disorders in patients with BPPV. In recent years, many studies have proved that the incidence of anxiety and depression in patients with BPPV is higher than in the general population, with two-way connections and interactions between them. However, little attention has been paid to the anxiety and depression in BPPV patients. In order to further improve outcomes, effective intervention is particularly important in patients with BPPV complicated with anxiety and depression. This article will review the epidemiology of BPPV and anxiety-depression comorbidity, the influence of psychological factors on BPPV, action mechanisms, risk factors and intervention measures, to lay a foundation for improvement in clinical diagnosis and treatment.